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Reference No:292400057667757
Date Filed:January 23 2024 10:26 AM
Batch Number:0

PSOC: PSIC: 4549

BIR Form No.

Republika ng Pilipinas
Kagawaran ng Pananalapi 0605
Kawanihan ng Rentas Internas Payment Form September 2003(ENCS)

1 For the 3 Quarter Clear Quarter 4 Due Date 5 No. of Sheets Attached 6ATC
Calendar Fiscal (MM/DD/YYYY)
2 Year
Ended 12 - December 2024 1st 2nd 3rd 4th 0 MC200
(MM/YYYY)

7 Return Period (MM/DD/YYYY) 12 31 2024 8Tax Type Code MC

Part I Background Information
9 Taxpayer Identification No. 10 RDO Code 11 Taxpayer Classification 12 Line of Business/Occupation

009 653 764 000 109 I N OTHER BUILDING COMPLETION ACTIV

13 Taxpayer's Name(Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals) 14 Telephone Number
GEOPILE CONSTRUCTION, INC.

15 Registered Address 16 Zip Code

LIWAYWAY ST SALIAO SULTAN KUDARAT 9806

17 Manner of Payment 18 Type of Payment

Voluntary Payment Per Audit/Delinquent Account

Self-Assessment Installment
Penalties No. of Installment
Preliminary/Final Assess/Deficiency Tax
Tax Deposit/Advance Payment
Accounts Receivable/Delinquent Partial Payment
Income Tax Second Installment(Individual)
Account
Full Payment
Others(Specify)

TCVC CERTIFICATION FEE

Part II Computation of Tax

19 Basic Tax/Deposit/Advance Payment 19 100.00

20 Add Penalties Surcharge Interest Compromise

20A 0.00 20B 0.00 20C 0.00 20D 0.00

21 100.00
21 Total Amount Payable(Sum of Items 19 & 20D)
Payment of Deficiency Taxes
For Voluntary Payment From Audit/Investigation
Delinquent Accounts
I declare, Under the penalties of perjury, that this document has been
made in good faith, verified by me, and to the best of my knowledge and
Pre-approved by Investigating Office
belief, is true and correct, pursuant to the provisions of the National
Internal Revenue Code, as amended, and the regulations issued under Not approved by Investigating Office
authority thereof.

Print Payment Details Proceed to Payment

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